Abstract
The authors present a retrospective review of 40 pediatric patients with perianal abscess and/or fistula-in-ano. The total patient population could be divided clinically into 2 broad groups. The first group consisted of 22 infants younger than 2 years of age, all of whom were males, and 10 of whom presented with recurrences after previous incision and drainage. Of the 14 infants presenting with an abscess, in 12 (85.7 percent), a fistula-in-ano was discovered at surgery. In contrast, in the group of 18 children older than 2 years of age, there were 7 females and 11 males, and fistulas were identified in only 7 of 13 patients (54.8 percent) who presented with abscesses. Surgical treatment consisted of examination under anesthesia and a diligent search for a fistulous tract. Abscesses were primarily saucerized and fistulotomy and cryptotomy of the confluent crypt was performed if a fistulous tract was identified. The only recurrences with this form of treatment occurred in the two immunocompromised patients.
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References
Duhamel J. Anal fistulae in childhood. Am J Proctol 1975;26:40–3.
Shafer AD, McGlone TP, Flanagan RA. Abnormal crypts of Morgagni: the cause of perianal abscess and fistula-in-ano. J Pediatr Surg 1987;22:203–4.
Fitzgerald RJ, Harding B, Ryan W. Fistula-in-ano in childhood: a congenital etiology. J Pediatr Surg, 1985;20:80–1.
Takatsuki, S. An etiology of anal fistula in infants. Keio J Med 1976;25:1–4.
Brook I, Martin WJ. Aerobic and anaerobic bacteriology of perirectal abscess in children. Pediatrics 1980;66:282–4.
Krieger RW, Chusid MJ. Perirectal abscess in childhood. Am J Dis Child 1979;133:411–12.
Enberg RN, Cox RH, Burry VF. Perirectal abscess in children. Am J Dis Child 1974;128:360–1.
Ramanujam PS, Prasad ML, Abcarian H, Tan AB. Perianal abscesses and fistulas: a study of 1023 patients. Dis Colon Rectum 1984;27:593–7.
Sehdev MK, Dowling MD Jr, Seal SH, Stearns MW Jr. Perianal and anorectal complications in leukemia. Cancer 1973;31:149–52.
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Read at the meeting of The American Society of Colon and Rectal Surgeons, Toronto, Canada, June 11 to 16, 1989.
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Piazza, D.J., Radhakrishnan, J. Perianal abscess and fistula-in-ano in children. Dis Colon Rectum 33, 1014–1016 (1990). https://doi.org/10.1007/BF02139215
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DOI: https://doi.org/10.1007/BF02139215